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Psychometric characteristics of the functional assessment of cancer therapy-general when applied to Brazilian cancer patients : A cross-cultural adaptation and validation

dc.contributor.authorCampos, Juliana Alvares Duarte Bonini
dc.contributor.authorSpexoto, Maria Cláudia Bernardes
dc.contributor.authorSerrano, Sergio Vicente
dc.contributor.authorMaroco, João
dc.date.accessioned2016-01-30T11:10:15Z
dc.date.available2016-01-30T11:10:15Z
dc.date.issued2016
dc.description.abstractBackground: The psychometric properties of an instrument should be evaluated routinely when using different samples. This study evaluated the psychometric properties of the Functional Assessment of Cancer Therapy-General (FACT-G) when applied to a sample of Brazilian cancer patients. Methods: The face, content, and construct (factorial, convergent, and discriminant) validities of the FACT-G were estimated. Confirmatory factor analysis (CFA) was conducted the ratio chi-square by degrees of freedom (χ 2 /df), the comparative fit index (CFI), the Tucker-Lewis index (TLI), and the root mean square error of approximation (RMSEA) as indices. The invariance of the best model was assessed with multi-group analysis using the difference of chi-squares method (Δχ 2 ). Convergent validity was assessed using Average Variance Extracted (AVE) and discriminant validity was determined via correlational analysis. Internal consistency was assessed using the Cronbach’s alpha (α) coefficient, and the Composite Reliability (CR) was estimated. Results: A total of 975 cancer patients participated in the study, with a mean age of 53.3 (SD = 13.0) years. Of these participants, 61.5 % were women. In CFA, five correlations between errors were included to fit the FACT-G to the sample (χ 2 /df = 8.611, CFI = .913, TLI = .902, RMSEA = .088). The model did not indicate invariant independent samples (Δχ 2 : μ: p < .001, i: p < .958, Cov: p < .001, Res: p < .001). While there was adequate convergent validity for the physical well-being (AVE = .54) and social and family Well-being factors (AVE = .55), there was low convergent validity for the other factors. Reliability was adequate (CR = .76–.89 and α = .71–.82). Functional well-being, emotional well-being, and physical well-being were the factors that demonstrated a strong contribution to patients’ health-related quality of life (β = −.99, .88, and .64, respectively). Conclusion: The FACT-G was found to be a valid and reliable assessment of health-related quality of life in a Brazilian sample of patients with cancer.pt_PT
dc.description.sponsorshipFundação de Amparo a Pesquisa do Estado de São Paulo (FAPESP); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)pt_PT
dc.identifier.citationHealth and Quality of Life Outcomes, 14(8). doi: 10.1186/s12955-015-0400-8pt_PT
dc.identifier.doi10.1186/s12955-015-0400-8pt_PT
dc.identifier.issn1477-7525
dc.identifier.urihttp://hdl.handle.net/10400.12/4308
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBiomed Centralpt_PT
dc.relation#2011/22620-5pt_PT
dc.subjectCancerpt_PT
dc.subjectValiditypt_PT
dc.subjectReliabilitypt_PT
dc.subjectBrazilpt_PT
dc.subjectHealth-related quality of lifept_PT
dc.titlePsychometric characteristics of the functional assessment of cancer therapy-general when applied to Brazilian cancer patients : A cross-cultural adaptation and validationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLondonpt_PT
oaire.citation.endPage10pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleHealth and Quality of Life Outcomespt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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